This revised and updated third edition is a highly practical guide to the steps that counselors can take on a day-to-day basis to help those who have problems with their use of alcohol. It is the key book recommended by most alcohol counseling courses in the UK, including the Scottish national alcohol counselors training scheme. This highly acclaimed text provides clear guidance for counselors and demonstrates the need to treat every client as an individual, attempting to understand and therefore enable the client to understand, what they are doing and why. The book has been thoroughly revised to take into account the current political, social and counseling context surrounding alcohol use. It now includes a wider range of case-studies and many new ideas which will help students and trainees develop the skills and strategies they need for working with their clients. Backed up with detailed case studies and useful resource material, the Third Edition of this bestselling text will continue to be invaluable for all practitioners, both those specializing in work with alcohol misusers and those who encounter problem drinkers in the context of a more general counseling practice.

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This book focuses on the use of drugs in our lives and how we respond to them. Whereas drug policy typically centres on the problems of illicit drugs or licit drugs used in illicit ways or circumstances, Contemporary Drug Policy instead considers the wide variety of substances we call drugs as a normal part of our personal and social experience and asks how and when drugs benefit us as well as how and when they are harmful. The evidence is clear that at some times, in some circumstances, and in some places drugs are a problem. This book does not ignore these issues but shifts our attention to making policies that also recognize their legitimate and constructive place in society. It focuses on asking questions, challenging assumptions, and developing responses to drugs based on evidence from scientific study as directed by critical criminological theory rather than mainstream theory or unfounded assumptions. Different from other books on drug policy, this book does not offer answers or solutions. Rather it shows how critical criminological theories can lead scientific research in new directions supportive of policies that offer both solutions to problems that are found to be related to drugs and an appreciation for the benefits that drugs can bring to people and society. This book will be of interest to those studying or researching drug policy as well as professionals involved in policy making processes.

Pharmacogenomics is the basis of personalized medicine, which is said to be the medicine of the future. Understanding genetic variation in drug and alcohol response is vital for professionals working in rehabilitation programs. The same principles that are applicable for therapeutic drugs are also applicable for drugs of abuse. Pharmacogenomics can supplement traditional therapeutic drug monitoring, potentially predicting correct dosage before initiation of the drug therapy. Applying these principles to testing and treatment, Pharmacogenomics of Alcohol and Drugs of Abuse discusses the role of the clinical laboratory in the practice of personalized medicine. With contributions from a range of experts, the book presents the genetic aspects of alcohol metabolism and other drugs including marijuana, cocaine, and amphetamines. In addition to basic pharmacogenomic aspects, the book addresses slate and trait markers of drugs of abuse so readers can consider setting appropriate biomarker tests in their clinical laboratory.

Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opiate research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health.

Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.

Stigma and discrimination of people with substance use disorders (SUD) contribute massively to the harm done by their condition: stigma has negative effects on service engagement, life opportunities, and personal shame, both for those who struggle with substance abuse and their families. Overcoming the stigma of substance use disorders is essential to aid recovery in those with SUD. This book provides an in-depth understanding of the stigma of SUD, and proposes ways to overcome it in different settings from the criminal justice system to healthcare. Combining a multitude of viewpoints within a consistent theoretical framework, this book both summarizes the latest evidence and gives hands-on advice and future directions on how to combat the stigma of SUD. People with lived experience of SUD, advocates, family members, policy makers, providers and researchers in the field of addiction stigma will greatly benefit from reading this book.

Torgoff examines how America's fascination with the new frontiers of inner space and consciousness gave birth to a mass culture of recreational drug use. Features interviews with eyewitnesses to the drug revolution, including Allen Ginsberg, Timothy Leary, Grace Slick, and many others.

The goal of this book is to contribute to the ongoing scholarly discussion on the very serious topic of drunkenness. The phrase four hundred rabbits is one of many illustrations of the deep cultural, religious, and social influences on how individuals and communities view alcohol intoxication: The Aztecs believed alcohol to have a divine origin, with a god and goddess giving birth to 400 (meaning innumerable in ancient Aztec) divine children or rabbit gods, each representing a varying degree and expression of alcohol intoxication and drunkenness. Hence the book s subtitle, which at first glance might seem light-hearted but in fact represents an in-depth look at a weighty topic.
With such rooted sociocultural factors in mind, the International Center for Alcohol Policies (ICAP) and DrinkWise Australia collaborated to prepare a publication that advances current understanding of the individual and collective meanings, purposes, and functions of drunkenness. As the authors explain, interpretations by different disciplines of the terms intoxication and drunkenness are often inconsistent. The chapters of this book discuss intoxication and drunkenness from three perspectives: biological, cultural, and social. By placing intoxication and drunkenness into these contexts, the book is able to offer language and conceptual tools to help advance the ongoing discussion on how best to reduce alcohol-related harm and encourage responsible enjoyment of beverage alcohol. Readers in need of an in-depth understanding of the varied dimensions of extreme drunkenness will add this excellent resource to their personal library.

Everything we know about drugs-from acid to epidemics to DARE and salvia-turns out to be wrong

Stock up on munchies and line up your water bottles: journalist Ryan Grim will take you on a cross-country tour of illicit drug use in the U.S.-from the agony (the huge DEA bust of an acid lab in an abandoned missile silo in Kansas) to the ecstasy (hallucinogens at raves and music festivals). Along the way, Grim discovers some surprising truths. Did anti-drug campaigns actually encourage more drug use? Did acid really disappear in the early 2000s? And did meth peak years ago? Did our Founding Fathers-or, better yet, their wives-get high just as much as we do?Traces the evolution of United States's long and twisted relationship with drugsGives surprising answers to questions such as: how did heroin become popular, when did the meth epidemic peak, and has LSD gone the way of QuaaludesBased on solid reporting and wide-ranging research-including surveys, reports, historical accounts, and more

Not since Eric Schlosser ventured underground to marijuana's black market in "Reefer Madness" has a reporter trained such a keen eye on drugs and culture. A powerful and often shocking history of one of our knottiest social and cultural problems, "This is Your Country on Drugs" leads you on a profound exploration of what it means to be an American.

Venturing into uncharted territory, mother and award-winning journalist Meredith Maran takes us inside teenagers' hearts, minds, and central nervous systems to explore the causes and consequences of our nation's drug crisis. In these pages we get to know the kids, the parents, the therapists, and the drug treatment programs at their best and worst. We're face-to-face with seventeen-year-old Mike, whose life revolves around selling, smoking, and snorting speed; fifteen-year-old Tristan -- the boy next door -- who can't get enough pot, pills, or vodka; and sixteen-year-old Zalika, a runaway, crack dealer, and prostitute since the age of twelve. Combining powerful on-the-street reporting and groundbreaking research, Dirty is essential reading for every parent and professional who works with or cares about children or teenagers.

Dual diagnosis is the concurrent existence of substance misuse and psychiatric disorders in an individual. There has been an increase in the number of people being dual diagnosed and this impacts psychiatry services in primary care and general hospital settings. This book will provide practitioners with a comprehensive text on the contemporary issues of working with dual diagnosis patients from both clinical and theoretical perspectives.

The ability to self-nurture and set effective limits is the root of human maturity, and the foundation for emotional, behavioural, and spiritual balance. Fortunately, the skills to self-nurture and set effective limits can be fine-tuned and readers will learn them via a wealth of practical examples, colourful case histories, and scientific findings that are both fascinating and easy to understand. These skills are effective for a wide range of psychological and addictive problems--from alcoholism and other addictions to overeating, overworking, overspending, and perfectionism.

Departing from largely ineffective medically-oriented approaches to the problems of drug abuse/education, the contributors to this volume present relevant empirical findings and theoretical models within a comprehensive psychosocial framework, which draws upon recent advances in understanding the physiological, psychological, interpersonal, and social forces that are the causes of youthful drug addiction.

Drug Abuse: Concepts, Prevention, and Cessation serves as a comprehensive source of information on the topography of, causes of, and solutions to drug problems. The text covers conceptual issues regarding definitions of drug use, misuse, abuse, and dependence. Importantly, the text addresses a variety of theoretical bases currently applied to the development of prevention and cessation programs, specific program content from evidence-based programs, and program processes and modalities. Information regarding etiology, prevention, and cessation is neatly delineated into (a) neurobiological, (b) cognitive, (c) micro-social, and (d) macro-social/physical environmental units. The book is ideally suited as a primary source for students and professionals in chemical dependence programs, clinical and health psychology, public health, preventive medicine, nursing, sociology, and social work, among other fields, on the nature, causes, prevention, and cessation of the abuse of legal and illegal drugs.

The traditional zero-tolerance, 'just say no ' attitude ignores the cold hard fact that most kids will, at some point, experiment with drugs or alcohol. This is a practical guide for parents that takes a calming, realistic approach to dealing with drug and alcohol use among kids and teens.

It is during the critical first session with substance abusers that clinicians have the first, and all too often the last, opportunity to break through the wall of denial and create an atmosphere of trust that is so crucial to changing behavior. Written by a father-daughter team of clinical psychologists, The First Session with Substance Abusers outlines a proven plan for conducting an initial session that can uncover substance abuse problems with clients no matter how resistant or manipulative they may be. Applying the methods outlined in this book, psychologists and health professionals can use the first session to assess and evaluate the depth and duration of the substance abuse problem and motivate the client to begin the most appropriate form of treatment.

Khat. A harmless natural stimulant or a lethal epidemic sweeping through the international drugs trade? Khat is a natural substance that, in the Middle East, is as ubiquitous as coffee is in the West. It is hugely popular in some African and Arab populations. But critics contend that it is a seriously addictive stimulant that damages the cardiovascular system. In a groundbreaking study, the authors go behind the veil of the drug, questioning its availability and its effect on its Red Sea producers. Interwoven with case studies from Djibouti to Rome, The Khat Controversy goes deeper to explore contemporary issues relating to globalization, ethnicity and culture. With its popularity escalating in London, Rome, Toronto and Copenhagen, khat is fast becoming a problem in the West. The first study of this contested drug, The Khat Controversy provides a concise introduction to the issues surrounding khat usage and suggests how policymakers should address them. The Khat Controversy: Stimulating the Debate on Drugs has received an honorable mention for the African Studies Association's 2008 Melville J. Herskovits Award.

Khat. A harmless natural stimulant or a lethal epidemic sweeping through the international drugs trade? Khat is a natural substance that, in the Middle East, is as ubiquitous as coffee is in the West. It is hugely popular in some African and Arab populations. But critics contend that it is a seriously addictive stimulant that damages the cardiovascular system. In a groundbreaking study, the authors go behind the veil of the drug, questioning its availability and its effect on its Red Sea producers. Interwoven with case studies from Djibouti to Rome, The Khat Controversy goes deeper to explore contemporary issues relating to globalization, ethnicity and culture. With its popularity escalating in London, Rome, Toronto and Copenhagen, khat is fast becoming a problem in the West. The first study of this contested drug, The Khat Controversy provides a concise introduction to the issues surrounding khat usage and suggests how policymakers should address them. The Khat Controversy: Stimulating the Debate on Drugs has received an honorable mention for the African Studies Association's 2008 Melville J. Herskovits Award.

In the pursuit of more muscle, enhanced strength, sustained endurance and idealised physiques, an increasing number of elite athletes, recreational sport enthusiasts and body-conscious gym-users are turning to performance and image enhancing drugs and substances (PIEDS). In many instances, such use occurs with little regard for the health, social and economic consequences. This book presents a nuanced, evidence-based examination of PIEDS. It provides a classification of PIEDS types, physical impacts, rates of use, user profiles, legal and sporting status, and remedial program interventions, covering both elite and recreational use. It offers the perfect guide to assist students, government policy makers and sport managers in understanding the complex issues surrounding PIEDS consumption.

Substance Use and Misuse is a comprehensive and practical text that covers the core elements of substance use and misuse in both acute and community settings. The text reflects those areas in which health-care professionals are assuming greater responsibility for those people misusing psychoactive substances. It adopts a skills-orientated approach, providing a framework of good clinical practice and is written by a group of clinicians and academics. This book is an invaluable tool for undergraduate and postgraduate students, educators and clinical practitioners in all branches of nursing, midwifery and health visiting. It is also relevant to others in the healing professions as well as generic and specialist health-care professionals.

* emphasis placed on prevention
* an up-to-date, practical and comprehensive text for students and practitioners in health care
* adopts a skills-orientated approach, supported by the latest research and case vignettes
* written by experts in clinical practice, management, education and research

More than a hundred years have passed since the adoption of the first prohibitionist laws on drugs. Increasingly, the edifice of international drug control and laws is vacillating under pressures of reform. Scholarship on drugs history and policy has had a tendency to look at the issue mostly in the Western hemisphere of the globe or to privilege Western narratives of drugs and drugs policy. This volume instead turns this approach upside down and makes an intellectual attempt to redefine the subject of drugs in the Global South. Opium, heroin, cannabis, hashish, methamphetamines and khat are among the drugs discussed in the contributions to the volume, which spans from Sub-Saharan Africa to Southeast Asia, including the Middle East, North Africa, Latin America and the Indian Subcontinent. The volume also makes a powerful case for an interdisciplinary approach to the study of drugs by juxtaposing the work of historians, political scientists, geographers, anthropologists and criminologists. Ultimately, this edited volume is a rich and diverse collection of new case studies, which opens up venues for further research. This book was originally published as a special issue of Third World Quarterly.

This compelling Dual Disorders Recovery Book, written for those with an addiction and a psychiatric illness, provides a source of information and support throughout recovery. This compelling book The Dual Disorders Recovery Book, written for those of us with an addiction and a psychiatric illness, provides a source of information and support throughout our recovery. Personal stories offer experience, strength, and hope as well as expert advice. The book offers information on how Steps 1-5 apply specifically to us. An appendix includes a "Blueprint for Recovery," the meeting format of Dual Recovery Anonymous, and self-help resources.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

ARE YOU OR IS SOMEONE YOU LOVE STRUGGLING WITH ADDICTION?

When it comes to drug and alcohol addiction, it's hard to know where to turn for help. The professionals at the Betty Ford Center--one of the world's leading and most trusted sources of treatment for oddiction--hove provided thousands with the strength, support, and expertise that substance abusers need to get well. Now, the former medical director of the Betty Ford Center shares that expertise in this remarkably honest and complete book, which answers vital questions that surround this difficult subject:

• "My son seems to be following in his alcoholic father's footsteps. How can I help him?"
  
• "My wife's the alcoholic, why do I need treatment?"
  
• "Can the brain rerover from cocaine abuse?"
  
• "Even a double dose of my prescription tranquilizers doesn't seem to help. Am I addicted?"
  
• "If I get sober, what are my chances of staying sober?"
  
• "l am uncomfortable with the spiritual aspect of AA. Is there on alternative?"
  
• "Is it true that people who are forced into treatment get nothing out of it?"